MEDICARE: ANNA SCHMIDT MSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	LW61167516	WA

General Provider Information

NPI Number	:	1639630809
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNA SCHMIDT MSW

Provider Business Mailing Address
First Line	:	12921 58TH AVE NE
Second Line	:
City	:	MARYSVILLE
State	:	WA
Zip	:	98271-8733
Country	:	US
Telephone Number	:	425-387-4877
Fax Number	:

Provider Business Practice Location Address
First Line	:	103 E 3RD ST
Second Line	:
City	:	ARLINGTON
State	:	WA
Zip	:	98223-1348
Country	:	US
Telephone Number	:	425-387-4877
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/28/2019
Last Update Date	:	11/02/2023

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